Related Experiment Video
Updated: Aug 13, 2026

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
Published on: August 18, 2016
Chest pain
1Department of Internal Medicine, University of Kansas Medical Center, Kansas City 66103.
Insights
Diagnosing chest pain is challenging. This review covers common causes like myocardial ischemia and pulmonary embolism, and essential diagnostic tools such as electrocardiograms and chest X-rays.
Area of Science:
- Cardiology
- Internal Medicine
- Diagnostic Imaging
Background:
- Accurate diagnosis of chest pain is a significant clinical challenge.
- Chest pain is a common symptom with a broad differential diagnosis.
- Timely and correct diagnosis is crucial for patient outcomes.
Purpose of the Study:
- To review the differential diagnosis of chest pain syndromes.
- To outline the diagnostic studies utilized in evaluating chest pain.
- To highlight common and critical causes of chest pain.
Main Methods:
- Literature review of diagnostic approaches for chest pain.
- Discussion of common etiologies including cardiac, pulmonary, and gastrointestinal sources.
- Overview of key diagnostic modalities: chest X-ray, electrocardiogram, echocardiogram, heart catheterization, and esophageal studies.
Main Results:
- Identified myocardial ischemia, aortic dissection, pulmonary embolism, pericarditis, and gastroenterologic issues as frequent causes of chest pain.
- Highlighted the utility of chest X-ray, electrocardiogram, echocardiogram, heart catheterization, and esophageal studies in diagnosis.
- Emphasized the complexity and multifactorial nature of chest pain evaluation.
Conclusions:
- Effective evaluation of chest pain requires a systematic approach to differential diagnosis.
- A combination of clinical assessment and targeted diagnostic studies is essential.
- Understanding common etiologies and diagnostic tools aids in accurate chest pain diagnosis.
Abstract:
The accurate diagnosis of chest pain is often difficult. We review the differential diagnosis of chest pain and the diagnostic studies used in the evaluation of chest pain syndromes. Myocardial ischemia, aortic dissection, pulmonary embolism, pericarditis, and gastroenterologic sources of chest pain are the most common. The chest X-ray, electrocardiogram, echocardiogram, heart catheterization studies, and esophageal studies are helpful diagnostically.
Related Concept Videos
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Coronary Artery Disease III: Clinical Manifestations
Angina I: Introduction
Angina II: Classification
Angina III: Clinical Manifestations and Assessment
Angina V: Nursing Management

